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Southwest Alabama Physicians, P.C.

Details

Name: Southwest Alabama Physicians, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Dissolved
Date of registration: 17 Jan 1997 (28 years ago) (Companies founded in January 1997)
Date of dissolution: 29 Dec 2016
Entity Number: 000-184-696
Register Number: 000184696
ZIP code: 36545 (Companies in Clarke, 36545)
County: Clarke
Place of Formation: Clarke County
Registered Office Street Address: 226 HOSPITAL DRJACKSON, AL 36545
Registered Office Mailing Address: P O BOX 639JACKSON, AL 36545
Authorized Capital: $5,000
Paid Share Capital: $3,000

Activities PRACTICE MEDICINE

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SOUTHWEST ALABAMA PHYSICIANS, P.C. 401(K) PROFIT SHARING PLAN 2016 631186176 2017-06-26 SOUTHWEST ALABAMA PHYSICIANS, P.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-04-01
Business code 621111
Sponsor’s telephone number 2512464447
Plan sponsor’s address 227 HOSPITAL DRIVE, JACKSON, AL, 36545

Signature of
Role Plan administrator
Date 2017-06-26
Name of individual signing SIDNEY SIM CROSBY, M.D.
SOUTHWEST ALABAMA PHYSICIANS, P. C. 401(K) PROFIT SHARING PLAN 2016 631186176 2017-09-08 SOUTHWEST ALABAMA PHYSICIANS, P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-04-01
Business code 621111
Sponsor’s telephone number 2512464447
Plan sponsor’s address 227 HOSPITAL DRIVE, JACKSON, AL, 36545

Signature of
Role Plan administrator
Date 2017-09-08
Name of individual signing SIDNEY SIM CROSBY, M.D.
SOUTHWEST ALABAMA PHYSICIANS, P.C. 401(K) PROFIT SHARING PLAN 2015 631186176 2016-07-13 SOUTHWEST ALABAMA PHYSICIANS, P.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-04-01
Business code 621111
Sponsor’s telephone number 2512464447
Plan sponsor’s address 227 HOSPITAL DRIVE, JACKSON, AL, 36545

Signature of
Role Plan administrator
Date 2016-07-13
Name of individual signing SIDNEY SIM CROSBY, M.D.
SOUTHWEST ALABAMA PHYSICIANS, P.C. 401(K) PROFIT SHARING PLAN 2014 631186176 2015-09-17 SOUTHWEST ALABAMA PHYSICIANS, P.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-04-01
Business code 621111
Sponsor’s telephone number 2512464447
Plan sponsor’s address P. O. BOX 639, JACKSON, AL, 365450639

Signature of
Role Plan administrator
Date 2015-09-17
Name of individual signing SIDNEY SIM CROSBY, M.D.
SOUTHWEST ALABAMA PHYSICIANS, P.C. 401(K) PROFIT SHARING PLAN 2013 631186176 2014-09-18 SOUTHWEST ALABAMA PHYSICIANS, P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-04-01
Business code 621111
Sponsor’s telephone number 2512464447
Plan sponsor’s address P. O. BOX 639, JACKSON, AL, 365450639

Signature of
Role Plan administrator
Date 2014-09-18
Name of individual signing SIDNEY SIM CROSBY, M.D.
Role Employer/plan sponsor
Date 2014-09-18
Name of individual signing SIDNEY SIM CROSBY, M.D.
SOUTHWEST ALABAMA PHYSICIANS, P.C. 401(K) PROFIT SHARING PLAN 2012 631186176 2013-05-16 SOUTHWEST ALABAMA PHYSICIANS, P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-04-01
Business code 621111
Sponsor’s telephone number 2512464447
Plan sponsor’s address P. O. BOX 639, JACKSON, AL, 365450639

Signature of
Role Plan administrator
Date 2013-05-16
Name of individual signing SIDNEY SIM CROSBY, M.D.
Role Employer/plan sponsor
Date 2013-05-16
Name of individual signing SIDNEY SIM CROSBY, M.D.
SOUTHWEST ALABAMA PHYSICIANS, P.C. 401(K) PROFIT SHARING PLAN 2011 631186176 2012-05-31 SOUTHWEST ALABAMA PHYSICIANS, P.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-04-01
Business code 621111
Sponsor’s telephone number 2512464447
Plan sponsor’s address P. O. BOX 639, JACKSON, AL, 365450639

Plan administrator’s name and address
Administrator’s EIN 631186176
Plan administrator’s name SOUTHWEST ALABAMA PHYSICIANS, P.C.
Plan administrator’s address P. O. BOX 639, JACKSON, AL, 365450639
Administrator’s telephone number 2512464447

Signature of
Role Plan administrator
Date 2012-05-31
Name of individual signing SIDNEY SIM CROSBY, M.D.
Role Employer/plan sponsor
Date 2012-05-31
Name of individual signing SIDNEY SIM CROSBY, M.D.
SOUTHWEST ALABAMA PHYSICIANS, P.C. 401(K) PROFIT SHARING PLAN 2010 631186176 2011-10-05 SOUTHWEST ALABAMA PHYSICIANS, P.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-04-01
Business code 621111
Sponsor’s telephone number 2512464447
Plan sponsor’s address P. O. BOX 639, JACKSON, AL, 365450639

Plan administrator’s name and address
Administrator’s EIN 631186176
Plan administrator’s name SOUTHWEST ALABAMA PHYSICIANS, P.C.
Plan administrator’s address P. O. BOX 639, JACKSON, AL, 365450639
Administrator’s telephone number 2512464447

Signature of
Role Plan administrator
Date 2011-10-05
Name of individual signing SIDNEY SIM CROSBY, M.D.
Role Employer/plan sponsor
Date 2011-10-05
Name of individual signing SIDNEY SIM CROSBY, M.D.
SOUTHWEST ALABAMA PHYSICIANS, P.C. 401(K) PROFIT SHARING PLAN 2009 631186176 2010-09-14 SOUTHWEST ALABAMA PHYSICIANS, P.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-04-01
Business code 621111
Sponsor’s telephone number 2512464447
Plan sponsor’s address P. O. BOX 639, JACKSON, AL, 365450639

Plan administrator’s name and address
Administrator’s EIN 631186176
Plan administrator’s name SOUTHWEST ALABAMA PHYSICIANS, P.C.
Plan administrator’s address P. O. BOX 639, JACKSON, AL, 365450639
Administrator’s telephone number 2512464447

Signature of
Role Plan administrator
Date 2010-09-14
Name of individual signing SIDNEY SIM CROSBY, M.D.
Role Employer/plan sponsor
Date 2010-09-14
Name of individual signing SIDNEY SIM CROSBY, M.D.

Agent

Name Role
CROSBY, SIDNEY S Agent

Incorporator

Name Role
CROSBY, SIDNEY S Incorporator
FURR, STEVEN P Incorporator
STEVENS, NORMAN G III Incorporator

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State

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